Individual
PRADEEP BANGALORE PRAKASH
Active
Individual
PRADEEP BANGALORE PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72580-20
WI
208000000X
Pediatrics Physician
MD-41570
IA
2080P0203X
Pediatric Critical Care Medicine Physician
35943
WV
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
72580-20
WI
2080P0203X
Pediatric Critical Care Medicine Physician
MD-41570
IA
Other
Enumeration date
02/26/2014
Last updated
03/21/2026
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